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The effectiveness of evidence-based nursing intervention for nasal irrigation after endoscopic sinus surgery in patients with chronic rhinosinusitis: a randomized controlled trial

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Objectives

To evaluate its effect of an evidence-based nursing program for nasal irrigation after endoscopic sinus surgery in patients with chronic rhinosinusitis (CRS).

Methods

A total of 66 patients with CRS were randomly divided into two groups, for which the experimental group received evidence-based nasal irrigation nursing, and the control group received conventional nursing. Differences in Sino–Nasal Outcome Test-20 (SNOT-20), visual analogue scale (VAS), Lund–Mackay CT, Endoscopic Lund Kennedy Score (LKES) and overall efficacy were assessed between the two groups.

Results

2, 4 and 12 weeks after the intervention, the scores of SNOT-20, VAS, Lund–Mackay CT and LKES in the two groups were significantly lower than those before the surgery (P < 0.05). Compared with the control group, the scores were significantly lower in the experimental group (P < 0.05). 12 weeks after the intervention, the overall effective rate of treatment in the experimental group was 90.62%, while the control group was 16.43%, but the difference was not statistically significant in treatment effect (P > 0.05).

Conclusions

The implementation of nasal irrigation evidence-based nursing program for patients with CRS after endoscopic sinus surgery can promote postoperative nasal mucosal recovery, improve treatment efficiency, and help improve patient comfort, quality of life and other subjective feelings.

Trial registration

The study was registered retrospectively with reference number ChiCTR2300075484 on 06/09/2023, available at: https://www.chictr.org.cn.

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Availability of data and materials

The data sets utilised and/or analysed during the present investigation can be procured from the corresponding author upon reasonable request.

Abbreviations

CRS:

Chronic rhinosinusitis

VAS:

Visual analogue scale

SNOT-20:

Sino–Nasal Outcome Test-20

LKES:

Endoscopic Lund–Kennedy Score

ENT:

Otorhinolaryngology head and neck surgery

FESS:

Functional endoscopic sinus surgery

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Funding

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Author information

Author notes

  1. Lei Wang and Yaru Lv have contributed equally to this work.

Authors and Affiliations

  1. College of Nursing, Shanxi Medical University, Taiyuan, Shanxi, China

    Lei Wang & Yaru Lv

  2. Peking Union Medical College Hospital, Beijing, China

    Xiaowei Chang

  3. The First Affiliated Hospital of Air Force Military Medical University, Xian, Shanxi, China

    Mengyao Wang

  4. Fenyang College of Shanxi Medical University, Lvliang, Shanxi, China

    Juan Wang

  5. Department of Nursing, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, Zhejiang, China

    Jianwen Yang

  6. Department of Otorhinolaryngology-Head and Neck Surgery, The First Hospital of Shanxi Medical University, No. 56 Xinjian South Road, Taiyuan, 030001, Shanxi, China

    Chunming Zhang

Authors
  1. Lei Wang
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  2. Yaru Lv
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  3. Xiaowei Chang
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  4. Mengyao Wang
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  5. Juan Wang
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Contributions

Study design: LW, XWC. Data collection: JW, MYW, XWC. Data analysis: JWY, YRL. Manuscript writing: LW, YRL. Critical revision of the article: CMZ. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Chunming Zhang.

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Conflict of interest

No conflict of interest exists in the submission of this manuscript.

Ethics approval

This research adheres to the principles of the Declaration of Helsinki and received the approval of the Medical Ethics Committee of Shanxi Medical University (No. 2023008).

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All participants signed the informed consent and retain the right to withdraw from the study at any time.

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Wang, L., Lv, Y., Chang, X. et al. The effectiveness of evidence-based nursing intervention for nasal irrigation after endoscopic sinus surgery in patients with chronic rhinosinusitis: a randomized controlled trial. Eur Arch Otorhinolaryngol 281, 2451–2462 (2024). https://doi.org/10.1007/s00405-023-08431-w

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  • DOI: https://doi.org/10.1007/s00405-023-08431-w

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